Physician-guided care
Hormonal and Metabolic Optimization
Balance your hormones and support your metabolism with care guided by a board-certified physician. We look at hormone imbalances, a slowed metabolism and age-related changes, then build a plan to restore balance and energy. Available at our Sacramento and Granite Bay offices, near Roseville.
Medically reviewed by Inderpreet Sanghera, MD on
Balance, energy, well-being
What is hormonal and metabolic optimization?
Hormonal and metabolic optimization is care aimed at the hormone imbalances, slowed metabolism and age-related changes that affect how you feel day to day. At Lotus MD, we help patients work toward better balance for their health, vitality and longevity.
Under the guidance of a board-certified physician, we provide personalized evaluations and treatment plans designed to restore balance, improve energy and support sustainable wellness.
Your plan is built from your own lab results and symptoms, not a template. It can combine hormone therapy with nutrition and lifestyle support.
The concern
Signs your hormones or metabolism may be out of balance
Many patients come to us because something feels off and they cannot pin down why. These symptoms can be signs of a hormonal imbalance:
- Low energy
- Weight gain
- Brain fog
- Mood changes
- Poor sleep
- Low libido
What this care addresses
- Hormone imbalances
- Slowed metabolism
- Age-related changes
Symptoms like these have many possible causes. Your evaluation looks at the full picture before any treatment is recommended.
How it works
How we build your plan
Personalized evaluation
We start with your history, your symptoms and what you want to feel like again.
Lab testing and symptom review
Lab testing alongside a review of your symptoms shows what is going on beneath the surface.
Your tailored plan
A plan that may use hormone therapy, nutrition and lifestyle support, built around your results.
The goal
What patients work toward
More energy
Getting through the day without running on empty.
Better mood
Feeling steadier and more like yourself.
Balanced weight
Support for a metabolism that has slowed down.
Restful sleep
Sleep that leaves you rested.
Overall wellness
Care focused on your health, vitality and longevity.
A body in sync
A body that feels in sync again.
Whole-person care
Part of a bigger plan
Hormones and metabolism are closely tied to weight and long-term health. Hormonal balance and metabolic support are part of our concierge medicine program, and hormone optimization is part of our medical weight loss program.
- Hormonal balance and optimization
- Metabolic and weight loss support
- Advanced labs and diagnostics
- Nutrition and lifestyle guidance
Founder and Medical Director
Dr. Inderpreet Sanghera
- MD, licensed physician
- Board certified, ABFM
- Certified, CPSO
- Certified aesthetic injector
- XERF Master Certified 2026
- Nearly two decades in medicine
Dr. Sanghera is a licensed medical doctor (MD), board certified by the American Board of Family Medicine and certified by the College of Physicians and Surgeons of Ontario. She is a certified aesthetic injector trained in Botox, Dysport and Xeomin, is XERF Master Certified (2026), and spent much of her career caring for veterans at the VA. Over the years she developed a passion for metabolic health and longevity: how nutrition, hormones and lifestyle shape both the length and the quality of our lives.
About Dr. SangheraQuestions
Hormonal and metabolic optimization questions
Still unsure? Book a consultation and ask us in person.
What does hormonal and metabolic optimization address?
It targets hormone imbalances, a slowed metabolism and age-related changes. Patients often come to us with low energy, weight gain, brain fog, mood changes, poor sleep or low libido.
How is my treatment plan decided?
Through lab testing and a review of your symptoms. Your plan is personalized and may include hormone therapy, nutrition and lifestyle support.
Who guides my care?
Your care is guided by a board-certified physician. Lotus MD was founded by Dr. Inderpreet Sanghera, who is board certified by the American Board of Family Medicine and serves as medical director.
Can this be part of concierge medicine?
Yes. Hormonal balance and optimization, along with metabolic and weight loss support, are among the services our concierge members can include in their care plan.
How much does hormonal and metabolic optimization cost?
Cost depends on the testing you need and the plan you and your physician choose. We go over it with you at your consultation, before any treatment begins.
Keep exploring
Other treatment categories
Your next step
Ready to feel balanced again?
Your consultation is where we hear your story, review your symptoms and plan the testing that will guide your care.
Sacramento: 4250 H Street, Suite #2 · Granite Bay: 4067 Cavitt Stallman Road